| NPI | 1306914957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD435340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435340) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: PA MD435340) | |
| 207R00000X Internal Medicine (Licence: NY 209532) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NY 209532) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 209532) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-12-07 |